DEPLOYMENT HEALTH ASSESSMENT POLICY AND PROCESS

UNCLASSIFIED//

ROUTINE

R 222341Z JUL 08

FM OU=CNO WASHINGTON DC(UC),L=WASHINGTON,L=DISTRICT OF 
COLUMBIA,OU=ORGANIZATIONS(UC),OU=NAVY,OU=DOD,O=U.S. GOVERNMENT,C=US

TO CN=AL NAVADMIN(UC),OU=ADDRESS LISTS(UC),OU=NAVY,OU=DOD,O=U.S. 
GOVERNMENT,C=US OU=NAVADMIN,OU=N,OU=AUTODIN PLAS,OU=DOD,O=U.S. 
GOVERNMENT,C=US

INFO OU=CNO WASHINGTON DC(UC),L=WASHINGTON,L=DISTRICT OF 
COLUMBIA,OU=ORGANIZATIONS(UC),OU=NAVY,OU=DOD,O=U.S. GOVERNMENT,C=US

BT
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PASS TO ALL OFFICE CODES:
FM CNO WASHINGTON DC//N1//
TO NAVADMIN
INFO CNO WASHINGTON DC//Nl//
NAVADMIN 207/08
UNCLAS //N06000//

MSGID/GENADMIN/CNO WASHINGTON DC/Nl/JUL//

SUBJ/DEPLOYMENT HEALTH ASSESSMENT POLICY AND PROCESS//



REF/A/GENADMIN/CNO/291515ZMAY2003//

REF/B/GENADMIN/CNO/101249ZJUL2006//

REF/C/DOC/ASD(HA)/20060811//

REF/D/GENADMIN/CDRUSCENTCOM/061911ZJUL2007//

REF/E/GENADMIN/CNO/162133ZSEP2005//

NARR/REF A IS NAVADMIN 142/03, ENHANCED POST-DEPLOYMENT HEALTH 
ASSESSMENTS.  REF B IS NAVADMIN 200/06, POST-DEPLOYMENT HEALTH RE-
ASSESSMENT (PDHRA) AND ELECTRONIC SUBMISSION OF DEPLOYMENT HEALTH 
ASSESSMENTS (EDHA).  REF C IS DEPARTMENT OF DEFENSE INSTRUCTION
(DODI) 6490.03, DEPLOYMENT HEALTH.  REF D IS MOD 8 TO USCENTCOM 
INDIVIDUAL PROTECTION AND INDIVIDUAL/UNIT DEPLOYMENT POLICY.  REF E IS 
RESERVE COMPONENT MEDICAL REQUIREMENTS FOR MOBILIZATION.//

RMKS/l.  THIS NAVADMIN SUPERSEDES AND CANCELS REFS A AND B, AND 
PROVIDES GUIDANCE FOR THE DEPLOYMENT HEALTH ASSESSMENT (DHA) PROCESS.
DHA'S ARE DIRECTED FOR SAILORS WHEN THEY EITHER DEPLOY WITH DUTIES 
INVOLVING MORE THAN 30 DAYS ASHORE OCONUS; ARE MEMBERS OF A DEPLOYING 
UNIT OR DEPLOYED INDIVIDUALLY ON THE GROUND TO USCENTCOM AOR; OR DEPLOY, 
REGARDLESS OF DEPLOYMENT AREA OR DURATION, AND THE COMMANDER EXERCISING 
OPERATIONAL CONTROL SPECIFICALLY DETERMINES THAT PERSONNEL UNDER HIS 
COMMAND WERE EXPOSED TO A POTENTIALLY ADVERSE PHYSICAL OR MENTAL HEALTH 
THREAT (E.G., A DEPLOYED SHIP CONDUCTS OPERATIONS THAT EXPOSED SAILORS 
TO CONTAMINANTS, DISEASE, OR TRAUMATIC EVENTS).  PER REF C, PERSONNEL 
WHO ROTATIONALLY DEPLOY WITH SHIPS/SQUADRONS AFLOAT ARE SPECIFICALLY 
EXCLUDED FROM THIS REQUIREMENT UNLESS THEY SERVED MORE THAN 30 DAYS 
WITH BOOTS ON THE GROUND.

2.  THIS NAVADMIN ALSO DIRECTS A ONE-TIME SCREENING OF MEDICAL RECORDS 
FOR DHA COMPLIANCE OF ALL PERSONNEL WHO HAVE COMPLETED AN IA ASSIGNMENT 
IN THE USCENTCOM AOR SINCE OCTOBER 2001.  PROCEDURES FOR ONE-TIME 
SCREENING ARE LISTED BELOW IN PARA 10.

3.  THE DHA PROCESS IS DESIGNED TO IDENTIFY STRESS INJURIES AND OTHER 
HEALTH CONCERNS THAT REQUIRE FURTHER ASSESSMENT OR TREATMENT.  DHA IS 
MANDATED BY DOD TO SCREEN SAILORS PRIOR TO DEPLOYMENT, TO IDENTIFY 
HEALTH CONCERNS AFTER DEPLOYMENT, AND TO FACILITATE APPROPRIATE CARE.
DHA CONSISTS OF:
A.  PRE-DEPLOYMENT HEALTH ASSESSMENT (PRE-DHA, DD FORM 2795), CONDUCTED 
WITHIN 60 DAYS PRIOR TO DEPLOYMENT.
B.  POST-DEPLOYMENT HEALTH ASSESSMENT (POST-DHA, DD FORM 2796), 
CONDUCTED WITHIN 30 DAYS BEFORE OR AFTER RETURN TO HOME STATION.
C.  POST-DEPLOYMENT HEALTH RE-ASSESSMENT (PDHRA, DD 2900), CONDUCTED 
BETWEEN 90 AND 180 DAYS AFTER RETURN TO HOME STATION.
PDHRA CAN BE DONE IN CONJUNCTION WITH THE PERIODIC HEALTH ASSESSMENT IF 
TIME FRAMES COINCIDE.

4.  THE DHA CAPTURES THE NECESSARY DATA TO MONITOR THE HEALTH OF OUR 
SAILORS IN ORDER TO PROACTIVELY IDENTIFY AND MANAGE HEALTH ISSUES.
A.  COMMANDERS, COMMANDING OFFICERS, AND OFFICERS-IN-CHARGE MUST BE 
PERSONALLY INVOLVED IN MONITORING THE DHA PROCESS TO ENSURE THAT EVERY 
SAILOR'S CONCERNS AND ISSUES RECEIVE THE APPROPRIATE ATTENTION AND 
CONSIDERATION.
B.  COMMAND LEADERSHIP AND MEDICAL PERSONNEL WILL USE THE MEDICAL 
READINESS REPORTING SYSTEM (MRRS) TO TRACK THE DHA PROCESS.

5.  BASIC STEPS FOR DHA PROCESS:
A.  SAILORS ACCESS AND COMPLETE DHA FORMS ELECTRONICALLY AT 
HTTPS://WWW-NMCPHC.MED.NAVY.MIL/EDHA.  COMMAND MAY OBTAIN A PASS PHRASE 
FOR ITS SAILORS BY CONTACTING THE EDHA HELPDESK AT (757) 953-0717/DSN 
377 OR EMAIL: EDHA(AT)NMCPHC.MAR.MED.NAVY.MIL B.  DHA'S MUST BE 
REVIEWED VIA A FACE-TO-FACE INTERVIEW WITH A HEALTH CARE PROVIDER:
(1) FOR DD FORM 2795: THIS CAN BE A NURSE, CORPSMAN, OR MEDICAL 
TECHNICIAN.  A POSITIVE RESPONSE TO QUESTIONS 2,3,4,7, OR 8 REQUIRES 
REFERRAL TO A PHYSICIAN, PHYSICIAN ASSISTANT (PA), NURSE PRACTITIONER 
(NP) OR INDEPENDENT DUTY CORPSMAN (IDC).
(2) FOR DD FORMS 2796 AND 2900: THE INTERVIEWER MUST BE A PHYSICIAN, PA, 
NP OR IDC.
C.  THE PROVIDER REVIEW PAGE FOR ALL DHA'S MUST BE COMPLETED 
ELECTRONICALLY BY A PHYSICIAN, PA, NP, OR IDC AND SUBMITTED INTO THE 
NAVY AND MARINE CORPS PUBLIC HEALTH CENTER (NMCPHC) AND ARMED FORCES 
MEDICAL SURVEILLANCE CENTER (AFMSC) DATABASES.
D.  A SIGNED PAPER COPY OF THE COMPLETED DHA FORM SHALL BE PLACED IN 
THE MEDICAL RECORD FOR VALIDATION AND CONTINUITY OF CARE.
E.  ENSURE APPROPRIATE REFERRAL AND FOLLOW-UP FOR ANY IDENTIFIED 
CONCERNS.
F.  AS OF 1 JULY 2008, ALL ACTIVE COMPONENT PERSONNEL TRANSITIONING 
THROUGH WARRIOR TRANSITION CENTER (WTC), CAMP ARIFJAHN, KUWAIT ARE 
COMPLETING THE ONLINE POST DHA AND MEETING WITH A REGISTERED MEDICAL 
PROVIDER TO CONDUCT THE FACE-TO-FACE REQUIREMENTS OF THE ASSESSMENT.  
REQUIRED BLOOD SERUM DRAWS (REFERENCE SAMPLES) AND FOLLOW-ON REFERRALS 
FOR MEDICAL EVALUATION AND TREATMENT MUST BE COMPLETED AFTER SAILORS 
RETURN TO CONUS AT MILITARY TREATMENT FACILITIES (MTF) SUPPORTING 
PARENT COMMANDS (IN THE CASE OF IA MANPOWER MANAGEMENT (IAMM) SAILORS) 
AND NEW GAINING COMMANDS (IN THE CASE OF GSA SAILORS).
G.  RESERVE COMPONENT SAILORS ARE RETURNING TO THE NAVY MOBILIZATION 
PROCESSING SITES (LOCATED AT NORFOLK, SAN DIEGO, GULFPORT, AND PORT 
HUENEME) TO COMPLETE POST DHA REQUIREMENTS DURING DEMOBILIZATION OUT-
PROCESSING.

6.  THE FOLLOWING RESPONSIBILITIES ARE ASSIGNED:
A.  DCNO (MPTE) (OPNAV N135) IS RESPONSIBLE FOR NAVY POLICY DEVELOPMENT 
AND COMPLIANCE OVERSIGHT REPORTS.
B.  USFF IS THE SUPPORTED COMMANDER AND IS RESPONSIBLE FOR EXECUTION 
AND COMPLIANCE ENFORCEMENT.
C.  ALL MAJOR CLAIMANTS AND ECHELON II COMMANDS (SUPPORTING
COMMANDS) WILL ENSURE COMPLIANCE WITHIN THEIR AREA OF RESPONSIBILITY 
AND WILL PROVIDE USFF WITH COMPLIANCE REPORTS AND EMPHASIZE DHA PROCESS 
DURING APPROPRIATE COMMAND ASSESSMENTS/EVALUATIONS.
D.  NAVY MEDICINE WILL PROVIDE MEDICAL SUPPORT SERVICES FOR COMMANDS TO 
COMPLETE DEPLOYMENT HEALTH ASSESSMENTS.

7.  COMMAND RESPONSIBILITIES:
A.  ROTATIONAL FORCE COMMANDS ARE RESPONSIBLE FOR ENSURING THAT AC AND 
RC SAILORS MEETING ANY OF THE CRITERIA CONTAINED IN PARA 1 COMPLY WITH 
THE DHA PROCESS AS LISTED IN PARA 3.  FOLLOW-UP ANY CONCERNS IDENTIFIED 
BY THE DHA PROCESS IN COORDINATION WITH MEDICAL PROVIDERS, AND VALIDATE 
DHA COMPLETION AND APPROPRIATE FOLLOW-UP AS PART OF CHECK IN/CHECK OUT 
PROCESSING.
B.  INDIVIDUAL AUGMENTEE ACTIVE COMPONENT (IA-AC) PARENT COMMAND'S 
RESPONSIBILITIES:
(1) ENSURE SAILORS COMPLETE DD FORM 2795 WITHIN 60 DAYS OF REPORTING TO 
NAVY MOBILIZATION PROCESSING SITES (NMPS) OR COMBAT SKILLS TRAINING 
(NAVY IA COMBAT SKILLS TRAINING (NIACT) OR ARMY COMBAT SKILLS TRAINING).  
FOR GSA PERSONNEL, THE DD FORM 2795 MUST BE COMPLETED PRIOR TO 
TRANSFERRING FROM DETACHING COMMAND.
(2) FOR POST-DEPLOYMENT MONITOR TO ENSURE DD FORM 2796 AND DD FORM 2900 
HAVE BEEN COMPLETED IN COMPLIANCE WITH PARA 3.
FOLLOW-UP ANY CONCERNS IDENTIFIED IN THE DHA PROCESS IN COORDINATION 
WITH MEDICAL PROVIDERS AND VALIDATE DHA COMPLETION AND APPROPRIATE 
FOLLOW-UP AS PART OF CHECK IN/CHECK OUT PROCESSING.
C.  NAVY MOBILIZATION PROCESSING SITES (NMPS) ARE RESPONSIBLE FOR
ENSURING:
(1) IA-RC SAILORS COMPLETE PRE-DHA AND FOLLOW-UP FOR ANY IDENTIFIED 
CONCERNS.
(2) COMPLETION OF POST-DHA FOR IA SAILORS (AC AND RC).  RC SAILORS 
INDICATING ISSUES ON THE DD 2796 WILL BE PROCESSED PER REF D.
D.  NAVY OPERATIONAL SUPPORT CENTERS (NOSC) RESPONSIBILITIES:
(1) ENSURE IA-RC SAILORS COMPLETE BASIC MEDICAL READINESS REQUIREMENTS 
AS DELINEATED IN REF E.  ANY CONCERNS REGARDING SAILORS'
DEPLOYABLE STATUS SHOULD BE ADDRESSED WITH AN APPROPRIATE MEDICAL 
DEPARTMENT REPRESENTATIVE.
(2) COLLABORATE WITH UNIT COMMANDERS TO ENSURE SAILORS COMPLETE THE 
PDHRA (DD 2900) BETWEEN 90 AND 180 DAYS AFTER RETURN FROM DEPLOYMENT.  
RC PDHRA SCREENING IS PROVIDED THROUGH DOD HEALTH AFFAIRS CONTRACT 
SERVICES, EITHER AT A NOSC-COORDINATED ONSITE SCREENING EVENT, OR BY 
CALLING THE DOD-SPONSORED PDHRA CALL CENTER (1-888-PDHRA-99).  MEMBERS 
INDICATING ISSUES ON THE DD 2900 MAY BE APPROVED FOR A "ONE-TIME LINE 
OF DUTY" AUTHORIZING A MEDICAL EVALUATION APPOINTMENT TO DETERMINE IF A 
MEDICAL CONDITION REQUIRING TREATMENT EXISTS.
(3) VALIDATE ALL DHA COMPLETIONS AS PART OF UNIT TRANSFER PROCEDURES.
E.  DEPLOYMENT HEALTH CENTERS (DHC).  NAVY MEDICINE HAS ESTABLISHED 
DHC'S AT NHC HAWAII, NH OKINAWA, NMC SAN DIEGO, NH CAMP PENDLETON, NH 
TWENTY-NINE PALMS, NBHC PORT HUENEME, NH LEMOORE, NH OAK HARBOR, NNMC 
BETHESDA, NHC QUANTICO, NHCNE NEWPORT, NMC PORTSMOUTH, NH CAMP LEJEUNE, 
NH BEAUFORT AT MCRD PARRIS ISLAND, NH JACKSONVILLE, NH PENSACOLA, AND 
BHC GULFPORT.
(1) DHC'S SUPPORT THE PDHRA (DD 2900) PROCESS, INCLUDING THE EVALUATION 
AND TREATMENT OF DEPLOYMENT RELATED PRIMARY CARE AND PSYCHOLOGICAL 
HEALTH CONCERNS.
(2) DHC ASSETS MAY ALSO SUPPORT PRE- AND POST-DHA PROCESSES.
(3) POINT OF CONTACT FOR DHC PROGRAM IS CDR FAITH BURRELL, BUMED M3C3, 
AT (202) 762-3049/DSN 762 OR EMAIL: PDHRA(AT)MED.NAVY.MIL.

8.  DHA DOCUMENTATION AND DATA MANAGEMENT:
A.  ALL DHA'S SHALL BE SUBMITTED ELECTRONICALLY.  PAPER COPIES OF DHA'S 
ARE NO LONGER AUTHORIZED FOR SUBMISSION.
(1) INSTRUCTIONS FOR COMPLETION AND ACCESS TO ELECTRONIC DHA'S ARE 
PROVIDED AT THE NMCPHC WEBSITE HTTPS://WWW-NMCPHC.MED.NAVY.MIL/EDHA.
(2) POINT OF CONTACT FOR ASSISTANCE WITH THE ELECTRONIC DHA WEB 
APPLICATION (EDHA) IS MR. AZAD AL-KOSHNAW, AT (757) 953-0938/DSN
377 OR EMAIL AT EDHA(AT)NMCPHC.MED.NAVY.MIL.  THE NMCPHC HELP DESK MAY 
BE CONTACTED AT (757) 953-0717/DSN 377 OR EMAIL:
EDHA(AT)NMCPHC.MAR.MED.NAVY.MIL
B.  COMMANDERS CAN VALIDATE COMPLETION OF DHA'S BY INDIVIDUAL OR LARGER 
AGGREGATIONS USING APPROPRIATE UIC'S TO PRODUCE A MRRS COMPLIANCE 
REPORT.
(1) IF WHILE ON DEPLOYMENT A COMMANDER DICTATES DHA COMPLIANCE FOR 
PERSONNEL WELFARE DUE TO AN IDENTIFIED HEALTH THREAT TO A SPECIFIC AREA, 
COMPLIANCE WILL BE MANUALLY SELECTED BY MEDICAL PERSONNEL IN MRRS FOR 
THOSE INDIVIDUALS OR UNITS WHO REQUIRE PDHA'S AND PDHRA'S.
(2) FOR ACCESS OR ASSISTANCE WITH MRRS, POINT OF CONTACT IS PSC 
DAVENPORT, OPNAV N16, AT (703) 695-3418/DSN 225, OR EMAIL:
MRRSPO(AT)NAVY.MIL.

9.  PROGRAM COMPLIANCE AND MONITORING:
A.  ECHELON I.  OPNAV N135 WILL PROVIDE CNO WITH QUARTERLY COMPLIANCE 
REPORTS.  COMPLIANCE REPORTS WILL BE BASED ON DHA COMPLETION DATA IN 
MRRS.
B.  SUPPORTED COMMAND.  USFF IS THE SUPPORTED COMMANDER AND WILL 
PROVIDE SPECIFIC REPORTING GUIDANCE SEPCOR.
C.  SUPPORTING COMMANDS.  ALL MAJOR CLAIMANTS AND ECHELON II COMMANDS 
WILL MONITOR DHA COMPLIANCE AND ANY REFERRAL FOLLOW-UP THROUGH MRRS.

10.  TO ACCOMPLISH THE ONE-TIME MEDICAL RECORD REVIEW OF SAILORS WHO 
HAVE COMPLETED AN IA ASSIGNMENT TO USCENTCOM AOR SINCE OCTOBER 2001, 
COMMANDERS ARE DIRECTED TO DO THE FOLLOWING:
A.  CANVASS SAILORS WITHIN YOUR COMMAND TO DETERMINE IF THEY HAVE 
COMPLETED AN IA ASSIGNMENT AS OUTLINED IN PARA 2.
B.  ACCESS MRRS TO VERIFY THE COMPLETION OF THE DD FORM 2900 FOR EACH 
SAILOR'S MOST RECENT DEPLOYMENT.
C.  IF COMPLETION OF DD 2900 IS NOT REFLECTED IN MRRS BUT A PAPER COPY 
IS PRESENT IN SAILOR'S MEDICAL RECORD, TRANSFER THE INFORMATION TO AN 
ELECTRONIC DD FORM 2900 AND SUBMIT.
D.  IF THE SERVICE MEMBER HAS NOT COMPLETED A DD FORM 2900, FOLLOW THE 
STEPS IN PARA 5.
E.  THIS REVIEW SHALL BE COMPLETED BY 31 OCTOBER 2008 TO ENSURE THE 
MRRS DATA ACCURATELY REFLECTS DHA COMPLIANCE.  ECHELON II COMMANDERS 
REPORT COMPLETION OF THIS REVIEW TO USFF (N1).

11.  POINT OF CONTACT:  MR. STEVEN R. ZAHL, OPNAV N135 AT (901) 874-
4355/DSN 882 OR E-MAIL AT STEVEN.ZAHL(AT)NAVY.MIL.

12.  RELEASED BY VADM M. E. FERGUSON III, N1.//

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